Capital Dentistry for Children LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

016056 Issued in MO

Legal business name

CAPITAL DENTISTRY FOR CHILDREN LLC

Practice address

931 Wildwood Dr Ste 104
Jefferson City, MO 65109-5719

Phone

(573) 874-1990

NPI assigned

Jun 4, 2013

Last updated

Jun 4, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Dale Coyle, DDSNPI 1639259047

Title

Owner/Member

Phone

(573) 874-1990

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Dale Coyle, DDS

  • Pediatric Dentistry
  • Columbia, MO
  • NPI 1639259047
  Authorized official Same address or phone
• Bryce Alan Evans, D.M.D.

  • Pediatric Dentistry
  • Columbia, MO
  • NPI 1467805390
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1740627447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W. NIFONG BLVD., BLDG 6, SUITE 130",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65203",
            "telephone_number": "573-874-1990",
            "fax_number": "573-874-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 WILDWOOD DR STE 104",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095719",
            "telephone_number": "573-874-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL DENTISTRY FOR CHILDREN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "COYLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "573-874-1990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "016056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Capital Care Pharmacy
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• Capital City Area Council for Special Services (The Special Learning Center)
• Capital City Area Council for Special Services (Special Learning Center)
• Capital City Medical Associates, PC
• Capital Emergency Physicians, PC
• Capital Family Care
• Capital Region Medical Center (Capital Region Medical Center-HME)
• Capital Region Medical Center (Capital Region Corporate Health Clinic)
• Capital Region Medical Center (Capital Region Physicians - Neurology)

• Pediatric Dentistry in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Pediatric Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.